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Recent Hospital Stay

Answered on August 19, 2014
Created January 01, 2013 at 4:36 PM

I was in the ER for hours waiiting to be admitted to the hospital. No food since 2:00pm. Kindly doc offered a mystery meat sandwich on a bun. My husband ate sandwich, I ate the orange. Fine. Past midnight in busy holiday hosp. no food, but crackers. "No thanks." I also refused to have saline drip because I could swallow and drank water through the night. Early morning still no food. An aide scrounged up an apple and some grape juice. Shunned the juice; ate the apple most delicious Delicious ever. A few minutes and I felt faint and clammy. Called a nurse, had to use bathroom, passed out cold on the toilet. Next thing I know hovering anxious people about moving me to the next level of care. Blood pressure fallen, they are sure that it is because I was dehydrated and pumped me with saline, I still think it was the fructose in the apple on empty stomach. What do you think? Has anyone else experienced faintness ending a fast with fruit? My conjecture was poo-poohed. The saline or time set me straight. Back to nomrmal and fine today.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 03, 2013
at 10:05 PM

I, do care what you think, Matt. Today I've resolved to take the 325 mg aspirin that the final doc recommended. Better than warfarin or plavix. I'm just not sure the best time to take it, but will follow up with the neurologist. For now am taking in the morning. What do you think?

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 03, 2013
at 10:01 PM

Lesson learned. Thanks, Janknitz

3491e51730101b18724dc57c86601173

(8395)

on January 02, 2013
at 10:20 PM

The hospital should have provided you with a decent meal, but in a situation like that you MUST eat something with protein and fat. The meat in the sandwich would have done more for you than the apple, regardless of whether it was CAFO and processed.

82166cc32b6cf26de33b69f58fb583b1

on January 02, 2013
at 07:09 PM

You're welcome. Glad you're feeling better.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:49 PM

Thank you Rob for taking the time to reply. I feel confidant that prh is what happened. I had somewhat low blood sugar, an aide came with the only food around early in the morning I ate the apple, I crashed. I don't think it had anything to do with the suspected TIA that I had been admitted for, but it got me to a higher level of care in the hospital. I was only in for 24 hrs. After many tests nothing was discovered to cause the TIA which was manifested by about 20 minutes of me talking nonsense and not being able to see well. Thanks again.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on January 02, 2013
at 05:49 PM

Doris, hope all turned out well. Who gives a crap what I think anyway, I'm a dork that talks nutrition/diet on the internet. ;)

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:43 PM

Now I remember that my blood sugar was checked right before the apple. It was a little low. That's why the aide got me the apple. It was high but not very after the fainting. I'm sure you have spotted what happened. Thanks Janknitz

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:40 PM

Thank you Roth and Matt and Math Girl for your responses

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:38 PM

I drank a lot more than I usually do at night say more than a litre.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:37 PM

Well folks, I don't know if it was the fructose or glucose, but it was the sugar after inadvertant fast. I was "Inside" becuase of a suspected Tansient Ischemic Attack (brain fart) Everything checked out ok and I was upfront about my egg, butter, cream and otherwise fatty consumption. I don't believe the Fall after the Apple had much to do with the TIA situation and everything to do with a sugary fruit eaten after fast.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:31 PM

Thanks Kim for sharing your experience. I regret not insisting on getting something to eat before the apple which I truly believe caused the fainting event. Thankfully I was only in the hospital for 24 hrs and the rest of the food I had was adequate. I will be more cautious if there is a next time!

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on January 01, 2013
at 08:34 PM

Personally, apples don't sit well on my empty stomach. Something about them... just remember being a kid puking on the school bus because I ate an apple for breakfast - was not pleasant (well, the smell wasn't terrible, apple-y!)

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on January 01, 2013
at 08:33 PM

Roth, fructose tolerance is the norm, paleo folks tend to focus far too much on dysfunction. Doris didn't mention FODMAPS or other fructose intolerance. Heck, she pinpointed one compound out of many in that apple - one villified (unfairly) by some.

3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on January 01, 2013
at 07:56 PM

Doris, I think it's very likely that a high-fructose fruit like an apple might have sent you "over the edge."

3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on January 01, 2013
at 07:56 PM

Matt, stop sipping the pro-fructose Kool Aid. Not everyone has the same biochemistry as YOU. You have no idea what someone who has to resort to a diet like GAPS or SCD experiences when eating certain carbohydrates. It's a roller coaster of metabolic hiccups.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 01, 2013
at 06:54 PM

Plus 1 from me Matt, about the paleo kool-aid, but I'm still not sure the fructose didn't send me over the edge and I do think I had enough to drink.

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6 Answers

best answer

1
F54a16e4caf4dc8da9ef1369f46a95cd

(591)

on January 01, 2013
at 07:28 PM

I don't know if this is helpful, but last year when I had my wisdom teeth out (pre-paleo), I didn't have anything to eat for 8 or more hours. The first thing I had was unsweetened applesauce and very shortly afterwards, I passed out. Then I tried to keep down white potatoes, which I threw up, then Greek yogurt which I managed to keep down I think.

I wouldn't be surprised if the apple/orange on an empty stomach had the same effect on you. Couldn't your husband bring you some food from outside the hospital? Surely you need to eat to get better.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on January 01, 2013
at 08:34 PM

Personally, apples don't sit well on my empty stomach. Something about them... just remember being a kid puking on the school bus because I ate an apple for breakfast - was not pleasant (well, the smell wasn't terrible, apple-y!)

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:31 PM

Thanks Kim for sharing your experience. I regret not insisting on getting something to eat before the apple which I truly believe caused the fainting event. Thankfully I was only in the hospital for 24 hrs and the rest of the food I had was adequate. I will be more cautious if there is a next time!

best answer

3
82166cc32b6cf26de33b69f58fb583b1

on January 01, 2013
at 09:07 PM

It sounds like postprandial reactive hypoglycemia. In English the name means, "low blood sugar after eating." In this condition, blood sugar falls and the person can faint.

A variety of factors contribute to it, and depending on circumstances, it can be triggered by any food that stimulates the release of insulin.

The glucose in the apple was a more likely cause than the fructose, because glucose has a stronger effect on insulin release. In fact, for people who suffer chronically from this syndrome, doctors recommend that they replace glucose with fructose because fructose is less likely to trigger it.

This doesn't mean that glucose is bad or that fructose is good. All it means is that in people who are susceptible, in certain circumstances, glucose is more likely than fructose to trigger this particular condition.

Here's a quotation from a review article about this syndrome. I've highlighted the words "fasting," "fructose," and "prevent" to show how the quotation applies to your question.

As shown above, the risk of reactive hypoglycemia is markedly enhanced by the simultaneous ingestion of ethanol and sucrose or glucose, mainly in the fasting state. Decreasing the amount of sucrose (glucose) ingested or replacing it with either saccharin or the noninsulinotropic carbohydrate fructose has been shown to prevent this kind of hypoglycemia [108]. It can be caused by any kind of food that stimulates insulin release.

(Emphasis mine.)

Source:

Brun JF, Fedou C, Mercier J. Postprandial reactive hypoglycemia. Diabetes Metab. 2000 Nov;26(5):337-51. PMID: 11119013

82166cc32b6cf26de33b69f58fb583b1

on January 02, 2013
at 07:09 PM

You're welcome. Glad you're feeling better.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:49 PM

Thank you Rob for taking the time to reply. I feel confidant that prh is what happened. I had somewhat low blood sugar, an aide came with the only food around early in the morning I ate the apple, I crashed. I don't think it had anything to do with the suspected TIA that I had been admitted for, but it got me to a higher level of care in the hospital. I was only in for 24 hrs. After many tests nothing was discovered to cause the TIA which was manifested by about 20 minutes of me talking nonsense and not being able to see well. Thanks again.

4
32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on January 01, 2013
at 05:11 PM

Ok, put down the paleo kool-aid. Stop second guessing doctors. "It was the evil fructose!" No, it was you not eating or drinking enough while having a medical emergency!

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on January 01, 2013
at 08:33 PM

Roth, fructose tolerance is the norm, paleo folks tend to focus far too much on dysfunction. Doris didn't mention FODMAPS or other fructose intolerance. Heck, she pinpointed one compound out of many in that apple - one villified (unfairly) by some.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on January 02, 2013
at 05:49 PM

Doris, hope all turned out well. Who gives a crap what I think anyway, I'm a dork that talks nutrition/diet on the internet. ;)

3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on January 01, 2013
at 07:56 PM

Doris, I think it's very likely that a high-fructose fruit like an apple might have sent you "over the edge."

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:37 PM

Well folks, I don't know if it was the fructose or glucose, but it was the sugar after inadvertant fast. I was "Inside" becuase of a suspected Tansient Ischemic Attack (brain fart) Everything checked out ok and I was upfront about my egg, butter, cream and otherwise fatty consumption. I don't believe the Fall after the Apple had much to do with the TIA situation and everything to do with a sugary fruit eaten after fast.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 01, 2013
at 06:54 PM

Plus 1 from me Matt, about the paleo kool-aid, but I'm still not sure the fructose didn't send me over the edge and I do think I had enough to drink.

3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on January 01, 2013
at 07:56 PM

Matt, stop sipping the pro-fructose Kool Aid. Not everyone has the same biochemistry as YOU. You have no idea what someone who has to resort to a diet like GAPS or SCD experiences when eating certain carbohydrates. It's a roller coaster of metabolic hiccups.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:40 PM

Thank you Roth and Matt and Math Girl for your responses

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 03, 2013
at 10:05 PM

I, do care what you think, Matt. Today I've resolved to take the 325 mg aspirin that the final doc recommended. Better than warfarin or plavix. I'm just not sure the best time to take it, but will follow up with the neurologist. For now am taking in the morning. What do you think?

2
3491e51730101b18724dc57c86601173

(8395)

on January 01, 2013
at 08:12 PM

Did they bother to check your blood sugar when this incident occurred? My guess is that it was in the toilet after spiking from the apple with no protein or fat. And only an orange before that. I'd be passing out regardless of my BP if I did that.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 03, 2013
at 10:01 PM

Lesson learned. Thanks, Janknitz

3491e51730101b18724dc57c86601173

(8395)

on January 02, 2013
at 10:20 PM

The hospital should have provided you with a decent meal, but in a situation like that you MUST eat something with protein and fat. The meat in the sandwich would have done more for you than the apple, regardless of whether it was CAFO and processed.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:43 PM

Now I remember that my blood sugar was checked right before the apple. It was a little low. That's why the aide got me the apple. It was high but not very after the fainting. I'm sure you have spotted what happened. Thanks Janknitz

1
61844af1187e745e09bb394cbd28cf23

(11058)

on January 01, 2013
at 04:52 PM

You were in the ER because of what you expect was a TIA, so I doubt the apple was the culprit. You refused the saline drip because you could drink, but how much did you actually drink? The blood pressure drop and the loss of consciousness sounds much more like dehydration than it does a reaction to an apple.

0e395acc856e3353f3f5892e6b09b0e7

(1227)

on January 02, 2013
at 05:38 PM

I drank a lot more than I usually do at night say more than a litre.

0
089dd41b18fbb95ebb5347cded708d98

(5635)

on January 01, 2013
at 09:57 PM

i don't know what you were in the hospital for, but it's always good to get a saline iv just in case things like this happen. i'm pretty sure it wasn't the apple and you were just hungry as hell and very dehydrated.

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